Senior Claims Adjuster

Placements24; Midrand; Remoto; ZAR 350.000 - 700.000; Tempo integral

Benefícios oferecidos por esta vaga

Competitive remuneration

Performance-based bonuses

Medical aid

Retirement fund

Resumo da vaga

Placements24 is seeking a highly experienced Senior Claims Adjuster for a fully remote role in South Africa. You will manage complex claims from report to settlement, interpret policy wordings, and negotiate settlements with claimants within your authority.

This role requires independence, high analytical ability, and strong communication with internal and external stakeholders. Remote work enables you to operate from a home office with reliable internet.

Qualificações

• Minimum 5 years of claims adjusting experience.
• In-depth knowledge of SA insurance principles and legislation.
• Experience with motor, property, or liability claims is preferred.

Responsabilidades

• Investigate complex claims and assess liability and damages.
• Interpret policy wordings to determine coverage.
• Negotiate settlements within prescribed authority limits.
• Manage a remote caseload and ensure timely resolutions.
• Prepare detailed investigative reports and correspondence.
• Collaborate with legal and repair service providers.
• Identify potential fraud indicators and escalate for review.
• Mentor junior claims adjusters.
• Stay updated on relevant legislation and industry best practices.

Conhecimentos

Negotiation

Analytical thinking

Communication skills

Remote work readiness

Formação

Professional qualifications in insurance

Ferramentas

Claims management software

MS Office

Descrição da vaga

About the Role

Our client, a leading insurance provider, is seeking a highly experienced and detail-oriented Senior Claims Adjuster to join their fully remote team. This is a critical role that demands a deep understanding of insurance policies, claims processing, and investigation procedures. You will be responsible for managing complex claims from initial report to final settlement, ensuring fair and accurate resolutions while upholding the company's reputation for integrity and customer service. The successful candidate will work autonomously, leveraging advanced communication and analytical skills to navigate challenging cases. This role is ideal for a seasoned professional who thrives in a remote work environment and is passionate about delivering exceptional outcomes for policyholders. Your expertise will be invaluable in supporting our client's commitment to excellence in the insurance sector.

Key Responsibilities

• Conduct thorough investigations into complex insurance claims, including liability assessment and damage evaluation.
• Interpret policy wordings and endorsements to determine coverage applicability.
• Negotiate settlements with claimants, policyholders, and legal representatives within prescribed authority limits.
• Manage a caseload of diverse claims, ensuring timely progress and resolution.
• Prepare detailed reports, documentation, and correspondence related to claim investigations and decisions.
• Collaborate with internal and external stakeholders, including legal counsel and repair services.
• Identify potential fraud indicators and upscale suspicious claims for further review.
• Provide guidance and mentorship to junior claims adjusters.
• Maintain up-to-date knowledge of relevant legislation, industry best practices, and insurance products.

Requirements

• A minimum of 5 years of experience in claims adjusting, with a proven track record in managing complex cases.
• In-depth knowledge of insurance principles, practices, and relevant South African legislation.
• Strong analytical and problem-solving skills with exceptional attention to detail.
• Excellent negotiation, communication, and interpersonal skills.
• Ability to work independently and manage time effectively in a remote setting.
• Proficiency in claims management software and Microsoft Office Suite.
• Relevant professional qualifications in insurance or a related field are highly advantageous.
• Experience in handling motor vehicle, property, or liability claims is a strong plus.
• A dedicated home office setup with reliable internet connectivity is essential.

Benefits

Our client offers a competitive remuneration package, including a generous annual salary and performance-based bonuses. As a fully remote position, you will benefit from the flexibility and work-life balance that a home-based role provides. Further professional development opportunities and continuous training are provided to ensure your career growth within the insurance industry. Comprehensive medical aid and retirement fund contributions are also part of the attractive benefits offered to employees. You will join a supportive and collaborative virtual team environment, with access to cutting-edge technology and resources to perform your duties effectively.